Tivity Health, Inc. (NASDAQ:TVTY)
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Q4 2018 Earnings Conference CallFeb. 19, 2019, 5:00 p.m. ET
Contents: Prepared Remarks Questions and Answers Call Participants Prepared Remarks:Operator
Good afternoon and welcome to the Tivity Health Fourth Quarter and Year-End 2018 Financial Results Conference Call. Today's call is being recorded and will be available for replay beginning today and through February 26, 2019, by dialing 855-859-2056. The replay passcode is 6390017. The replay may also be accessed for the next 12 months on the company's website.
All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question-and-answer session. [Operator Instructions]
To the extent any non-GAAP financial measure is discussed in today's call, you will also find a reconciliation of that measure to today's most direct comparable financial measure calculated according to GAAP in today's news release, which is also posted on the company's website.
This conference call may contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including statements, among others, regarding Tivity Health's expected quarterly and annual operating and financial performance of 2019 and beyond, as well as the closing of Tivity Health's pending acquisition of Nutrisystem. For this purpose any forward -- any statements made during this call that are not statements of historical fact, may be deemed to be forward-looking statements. Without limiting the foregoing, the words believes, anticipates, plans, expects and similar expressions are intended to identify forward-looking statements.
You are hereby cautioned that these statements may be affected by the important factors, among others, set forth in Tivity Health's filings with the Securities and Exchange Commission and in today's news release. And consequently, actual operations and results may differ materially from the results discussed in the forward-looking statements. The company undertakes no obligation to update publicly any forward-looking statements whether as a result of new information, future events, or otherwise.
And now, I'll turn the call over to the company's Chief Executive Officer, Mr. Donato Tramuto. You may begin, sir.
Donato Tramuto -- Chief Executive Officer
Welcome and thank you to everyone who has joined on the call today. I have with me Dawn Zier, Nutrisystem's President and Chief Executive Officer, who will review Nutrisystem's 2018 results as well as stand-alone 2019 outlook. Adam Holland, our CFO, will review Tivity's fourth quarter results, discuss the financial details around our acquisition of Nutrisystem and provide a preliminary combined company outlook for 2019. Mike Monahan, Executive Vice President and CFO of Nutrisystem, is also with us and he will be available during the question-and-answer session following our prepared remarks. Finally, Tommy Lewis, who leads our Investor Relations and Integration Initiatives, is also joining us today. We've also published a few supplemental slides on our company website that add some additional color on our comments.
I'll begin today's call by discussing our 2018 highlights and then provide comments around Tivity's 2019 outlook. First, I am very pleased with our 2018 results and the execution that the Tivity colleagues have applied to both managing and transforming our business model.
In 2018, we delivered 39% EPS growth, partly due to our debt pay-down and tax law changes. During 2018, we won 10 new clients, had three competitive takeaways won back a client that had previously left and we closed 97% of business renewals.
All of this allows us to enter into 2019 with strong market momentum, due to the wins as well as the retaining key clients, whose trust we have earned by one, investing in SilverSneakers; two, leveraging the power of the SilverSneakers brand first with the digital strategy that we introduced in 2017, and other key market initiatives, and now for the first time that we can recall television.
All of these efforts drive enrollment and engagement and make no mistake about it, it is working. For example, in just last week, I was in Arizona and I spent time in our call center and participated in a number of calls. 75% of the inbound calls were triggered by the TV ads and many of those calls were eligible members, who had never been enrolled. Further, many were individuals who were months away from aging-in and are now aware that they have a choice to select a Medicare Advantage Plan that offers SilverSneakers.
All of these growth levers have supported, our transformational strategy introduced in August of 2016. Namely, our future growth will be driven by more awareness, more enrollment, and more engagement of our SilverSneakers members. We have also had strong growth in our Prime business for the third consecutive year. In 2018, we recommitted with a key Prime customer one-year ahead of our renewal that was driven primarily by the innovation, we will bring to that partnership.
And today, we are announcing a multi-year agreement with Walmart to offer first, and I emphasize first, a comprehensive fitness program to its 1.5 million full-time U.S. associates, which is going to be called the Walmart Associate Program. And it will be powered by Prime and our National Fitness Network, which provides national reciprocity at thousands of fitness centers nationwide including national chains, community centers, recreation centers, and locally owned facilities.
Long-term, we are very excited to work side-by-side with the Walmart leadership, to build not only a healthier workforce, but also healthier communities. This is the first step, what is a tremendous opportunity for us to partner, with the largest retail chain Walmart to address many other social determinants of health and to look at other channels for delivering our core programs including our marquee brand SilverSneakers.
As I have explained many times before, we have built a revenue mosaic where we offset loss of lives, with new lives from customer wins and organic market expansion. Every year, there are ins and outs, hence and why under the leadership of Steve Janicak we overhauled our sales organization two years ago with the fierce focus on winning new customers.
Steve has been leading our sales organization for our more than two years and his team has secured a nearly 16 million of new business with an average of a 98% renewal rate. Thank you, Steve and his entire team.
In August, and once again in November, we leaned in and provided a preliminary output into 2019 that reflected, a reduction in the UnitedHealthcare lives. We felt comfortable on both of those occasions with our projections of a mid to high single-digit revenue growth in 2019. But as the final enrollment data came in during the last week of January, we discovered that UnitedHealthcare had pull forward even more lives.
UnitedHealth's removal of those additional lives a year ahead of our expectations and other factors account for nearly $20 million less revenue than we initially expected in 2019. As we have indicated in previous calls, we do plan for a final wave of individual UnitedHealthcare lives to go away in 2020. And as is our customary and normal approach with our revenue mosaic, we plan to offset those lives by anticipated new sales this year.
We believe that the most significant impact of the loss of these individual lives is now behind us. This will not affect the long-term growth of SilverSneakers or our overall business. That said, UnitedHealthcare continues to be an important customer and we believe that SilverSneakers is an important part of their business strategy as it relates to the group lives. And as has been the case throughout the UnitedHealthcare entire transition, we have not seen any reduction in the group lives and we continue to serve members of UnitedHealthcare's group business in all 50 states.
In my three-year tenure as CEO of the company I have met nearly 10,000 members as well as most of our top leadership with our customers who truly appreciate and recognize the value and the results of the iconic brand known as SilverSneakers. Allow me to provide you some perspective on this point. Setting aside the impact from UnitedHealthcare just for a minute, our revenue guidance would have been up 8% in 2019.
In the last few years, we have made significant investments even this year in SilverSneakers as it relates to media and I believe we have made a meaningful impact on our customers and the benefits that they now receive. We are well positioned to continue growing revenue with the combination of five critical and essential components. Number one, every single day 11,000 individuals turn 65 and become eligible for Medicare Advantage.
Number two, we have a strong and robust organic pipeline of new customer opportunities. Three, we continue to evolve our successful digital and media strategy. Four, the SilverSneakers brand is one that garners instant trust in the senior population we serve and the recent media investment is proving out this premise. And last, we have a leadership team that I am most proud of whose focus is on fierce execution.
All of this culminates in our 2019 stand-alone Tivity Health outlook of revenue between $612 million and $627 million, adjusted EBITDA between $140 million and $145 million and free cash flow excluding the transaction between $95 million and $100 million.
I will now turn the call over to Dawn. I'm thrilled that she's here with us. Dawn, if you can review the Nutrisystem's fourth quarter 2018 results and the outlook.
Dawn Zier -- President and Chief Operating Officer
Thank you, Donato and good afternoon. I'm pleased to report that our results for 2018 were in line with our revenue and earnings per share guidance adjusted for transactions and tax-related items. Revenue for 2018 was $691 million and earnings per share was $1.95 inclusive of $0.16 of transaction tax items. Adjusted EBITDA came in at $104.1 million.
I'd now like to give a quick update on our 2019 projections based on the first seven weeks of our diet season. At this point, we're expecting slight revenue and adjusted EBITDA growth year-over-year based on the midpoint of our guidance. This does not reflect any revenue or cost synergies, which we believe can be realized from the combination of Nutrisystem and Tivity Health.
To provide some color around the start of 2019, our early diet season trends indicate mixed results. On the program and product innovation front, our focus has been on personalized nutrition and enhanced flexibility, which will allow us to have increased engagement with customers, both at the start and throughout their journey to optimal health.
We remain excited about our new program wins for 2019. Nutrisystem Fresh Start, which offers the best balance between structure and flexibility and our new Keto-Friendly South Beach diet program both of which reflect evolving consumer trends. Looking ahead, we'll continue to lead on the personalized nutrition front. This is of high importance to consumers and health plans alike.
Our DNA Body Blueprint is just one example of how we will continue to innovate. Other examples of programs targeted to specific chronic conditions and general nutrition for seniors, plus you can expect a wider range of products, at different price points and configurations some with and some without food which will drive revenue per customer as we deepen and extend out our customer relationships.
Our competence around driving customer engagement which results in a higher revenue per customer, along with our ability to win back former customers continue to be stressed. Regarding our customer acquisition campaigns, response in January started out softer than anticipated, which led us to proactively pull back media spend versus last January, as we assessed an initial spike in competition which was driving up short-term cost and we reevaluated our initial media plan taking into consideration these new inputs.
The good news is that, toward the end of January and February we've seen sequential week-over-week improvements as we refined our marketing strategy, optimized our media mix and layered back in some additional spend. As we readied ourselves for 2019, we made some deliberate decisions around media deployment and media mix based on input and analysis from multiple independent and internal experts that have deep knowledge around media deployment and digital optimization. These recommendations were directionally right, but required some refinements. We've been able to increase our digital media mix year-over-year by focusing more on top-of-funnel channels and believe that there is much more to be done here.
Building off our success with social influencer and brand ambassador Jessie James Decker, we launched a multi-tiered social influencer campaign for South Beach Diet. We're gaining traction as we continue to add ambassadors and influencers throughout January and February and we're pleased with early results.
As previously discussed and based on external expert input and analysis as we strategically increased our focus on digital, we deliberately pulled back on television spend. However, January actual results indicate that we cut back too far on TV. Given the competitive environment and the media habits of our core customers the effect of this media mix shift drove a reduction in total response.
In late January, we began to layer back in television spend on top of our digital spend. And we're now seeing improved response and efficiency. Our objective is to continue to reach our traditional target audience and expand to new segments.
Media mix is a balancing exercise. As we adjust predictive models based on current viewership and media consumption and take into account the in-the-moment competitive environment.
Our 2019 creative approach supports our evolving brand promise and consumer trends. You will see different applications across digital and TV as we've some creative that appeals to our core demographics and different creative that allows us to expand reach. We'll continue to introduce new creatives throughout the year.
Based on what I've just shared, we're expecting revenue for the full year to be in the range of $682 million to $702 million and adjusted EBITDA of $100 million to $110 million, independent of synergies.
For consistency with how Nutrisystem has historically provided the adjusted EBITDA metric, our adjusted EBITDA range excludes estimated noncash compensation expense of approximately $10 million.
As a result of changes in our media deployment, the cadence of our 2019 revenue and adjusted EBITDA by quarter is expected to be slightly different than 2018. Currently we expect approximately 28% of revenue and 5% to 6% of our adjusted EBITDA to come in the first quarter. Free cash flow for the 2019 full year is expected to be in a range of $65 million to $75 million excluding transaction-related items.
I'd now like to take a moment to share what I personally believe that the combination of Tivity Health and Nutrisystem is good for investors. Our companies are highly complementary. I believe that Tivity Health's expertise and fitness and deep relationships in healthcare combined with Nutrisystem's nutrition and consumer engagement and marketing expertise, can change the paradigm for health and wellness and provide significant upside growth opportunities in the coming years.
Here is why? One, Like Donato, I believe Tivity plus Nutrisystem will be able to do what others are only talking about, when it comes to a holistic approach to health and wellness. And a critical first step to that is weight management which is the calories in plus calories out equation.
Two, the health plans are asking for nutrition-based solutions and we are best positioned to tailor our programs to specific chronic conditions and extend beyond weight-loss to broader nutrition based solutions for seniors, for example.
Three, Tivity Health's distribution channels that we currently do not have access to these channels have significant barriers to entry for stand-alone nutrition companies, I believe that we will be able to drive meaningful long-term revenue and profit growth by partnering with their health plan, accessing the fitness partner relationships and cross-promoting our brands across the two companies.
Four, Nutrisystem's expertise lies in direct-to-consumer marketing as well as driving revenue per customer, these skillsets will help expand brand recognition for SilverSneakers and Prime as well as drive visits to the fitness locations.
An opportunity that we will be able to capitalize on upon close is tapping into our data base of health conscious consumers. Approximately 25% of our database is 65-plus. We'll educate these customers about SilverSneakers and make it easy for them to conduct eligibility checks. Likewise, the remaining 75% are perfect targets for Tivity's Prime Fitness offering.
Our companies are healthy stand-alone organizations and we'll be even stronger combined as we will now have a 360-degree approach to the consumer in multiple points of access. I'm personally excited about joining forces with Donato and his team and the future ahead of us.
I will now turn the call over to Adam to provide a more detailed run down of the financials. Adam?
Adam C. Holland -- Chief Financial Officer
Thank you Dawn and good afternoon everyone. I'm going to share a few financial highlights for the fourth quarter before commenting on the full year 2018 results and key points surrounding Tivity's stand-alone 2019 outlook. Then I'll conclude with an update regarding the Nutrisystem transaction as it relates to our combined company 2019 outlook.
Our fourth quarter results generated revenues of $153 million, an increase of 9.8% over the same period in 2017. SilverSneakers revenue represented 80% of total revenue or $122.4 million, growing 8.7% over Q4 of 2017, driven by an increase in eligible lives, enrollment and visits.
During Q4, we tallied 25.7 million SilverSneakers visits that's an increase of 13.2% over Q4 of 2017. Prime Fitness business accounted for 17% of total revenue or $26.1 million for the quarter. Prime's growth over Q4 of 2017 was driven in part by a 35,000 net increase in member of pay subscribers. We ended the fourth quarter and the year with approximately 296,000 Prime subscribers.
Adjusted EBITDA for the fourth quarter was $37 million, an increase of 24.2% compared to 2017, which led to adjusted diluted earnings per share of $0.73 compared to $0.41 in the fourth quarter of 2017.
Results for the fourth quarter of 2017 reflected an effective tax rate of 62.2%, which included a $0.17 per share impact from tax reform while results for the fourth quarter of 2018, reflected an effective tax rate of 10.1%, primarily due to a lower statutory rate, following tax reform as well as a meaningful amount of windfall tax benefits related to divesting of stock-based compensation awards during fourth quarter. From a cash flow perspective, Tivity generated $31.6 million in free cash flow during the fourth quarter.
Moving to the full year 2018 results. Revenues were $606.3 million, an increase of 8.9% compared to 2017. SilverSneakers comprised $487.6 million or 80.4% of total revenue and Prime generated $101.4 million or 16.7%. WholeHealth Living made up the remainder.
Adjusted EBITDA of $142.2 million increased 10.5%, demonstrating some of the operating leverage highlighted during our Investor Day last June. Full year adjusted EBITDA margin increased 30 basis points to 23.4% compared to 2017. Tivity generated full year free cash flow of $99.7 million.
Regarding our SilverSneakers business for 2018, we ended the year with approximately 15.9 million eligible members with 76% coming from Medicare Advantage contracts and the remainder through Medicare Supplement. At the end of 2018, approximately 62% of our eligibles were under a form of a hybrid contract with the remaining under a PMPM structure. From an enrollment perspective, we ended the year with approximately 3.7 million members enrolled, compared to 3.5 million at the end of 2017.
Turning now to our stand-alone outlook for Tivity's business without regard to the transaction. As Donato shared we are guiding to a 2019 revenue range of $612 million to $627 million, implying a low single-digit growth rate over 2018.
The key assumptions are as follows. First, we expect SilverSneakers to decline slightly in total revenue for the year due to a net reduction lives much driven by what Donato discussed earlier. As noted in our supplemental slides, our expectations for United's total revenue is estimated to be approximately $61 million in 2019. We expect that the group business, which makes up approximately two-thirds of the revenue will continue at approximately current levels for the United contract.
For 2019, our expected key metrics for SilverSneakers are. One, as Donato had telegraphed last year, our focus is to maintain at least 15 million eligible lives. Two, in the year with at least 3.6 million enrollees. And three, we have by design focused the organization on an increased ratio of hybrid to PMPM business. We believe this will provide us with the same or better revenue growth. And as a result, we only need 4.5 million enrollees as compared to five million to achieve our longer-term targets.
More hybrid enrollees dovetails with more aggressive digital and media strategy to drive more engagement, aligning all the incentives both health and financial. We expect to hit about 100 million visits again, and we expect these visits will be weighted more toward the hybrids members.
And lastly, number five, with total hybrid enrollees expected to comprise approximately 75% of the 3.6 million eligibles throughout the year, up from 63%. This change in mix offers potential upside to revenue from our engagement initiatives knowing that every dollar of investment, to get somewhat engaged should better translate into our receiving payment for that activity.
The last 24 months has been about a transition from an eligibility driven company supported by a high number of PMPM members to one in which growth comes from an enrollment and engagement of members, where our incentive is to keep them active, and well and this is potentially transformative, as we now have the opportunity to get paid more for increased member activity.
Our Prime business is expected to represent over 20% of total Tivity revenue in 2019, driven by strong growth in member pay Prime and the new relationship with Walmart that Donato mentioned that we will believe will have multiple facets. WholeHealth Living is expected to have slight growth during the year.
Moving on to adjusted EBITDA, we have established Tivity's stand-alone guidance at a range of $140 million to $145 million. Free cash flow on a stand-alone basis is expected to be at a range of $95 million to $100 million.
Next I would like to update you on a Nutrisystem transaction previously announced on December 10. We anticipate the transaction will close in early March and after the Nutrisystem shareholder meeting scheduled for March 5. The transaction's consideration is a mix of Tivity's shares and cash and the cash portion is anticipated to be financed through a combination of cash on hand and a committed term loan.
We are currently working through the process of raising debt for the acquisition. And at the close of the transaction, we anticipate having approximately $1.2 billion of outstanding debt representing a pro forma leverage ratio of 4.4 times taking into account trailing 12-month EBITDA at an estimated run rate cost synergies of $9 million to $12 million.
Our business model continues to be capital light and we intend to aggressively pay down the outstanding debt with a robust free cash flow from the combined company. As we have previously indicated, we are currently targeting a leverage ratio of less than 3.5 times by the end of 2020 and less than 2.5 times by the end of 2021. As you're aware, our leadership team have a proven history of success in managing debt and leverage.
And finally, I want to cover our initial 2019 combined outlook. Based on Nutrisystem's outlook and assuming an early March close, on a combined basis, we anticipate revenue to be between $1.146 billion and $1.177 billion excluding potential revenue synergies. The combined revenue is expected to be composed of $612 million to $627 million of revenue from Tivity and $534 million to $550 million of revenue from Nutrisystem from the point of the transaction close in early March to year end. As a result of the timing of the closing of the acquisition, we expect Nutrisystem will only contribute approximately three weeks of results to the first quarter of 2019.
I also want to highlight some of the seasonality differences between the two businesses. Most of you are familiar with Tivity's quarterly cadence with a notable step-up from the fourth to the first quarter. As a result of Medicare Advantage plans determining their eligibles and starting their coverage year each January 1st. The results of their -- is their membership is relatively steady over the course of the calendar year. As Dawn mentioned, Nutrisystem's seasonality is a little more front-end loaded as the diet season is early in the year which is their busiest period.
Adjusted EBITDA for the combined company is expected to be between $240 million and $258 million which includes the benefit of an estimated $9 million to $12 million of cost synergies that we expect to realize in 2019.
Adjusted EBITDA excludes transaction-related expenses and restructuring and integration costs. As for earnings per share, we're not yet in a position to provide net income or EPS until a few things happen; one, the deal closes; two, the financing is in place; and three, we complete our accounting for the transaction. We expect to provide an outlook for net income and EPS on the first quarter call in early May.
And finally, for modeling purposes going forward, after we close the transaction, we will be reporting two revenue lines; one from our Fitness division and the other from our Nutrition division. Both divisions will likely be reported as individual segments within our quarterly and annual reports and we will continue to provide updates on many of the key metrics for both divisions.
Now, I'll turn the call back over to Donato for some closing remarks. Donato?
Donato Tramuto -- Chief Executive Officer
Thank you, Adam, and thank you Dawn. In closing, I want to share with you our key areas of focus for Tivity and the excitement we all feel about the powerful combination of fitness and nutrition.
As we have clearly demonstrated before in both businesses we are committed to reaccelerating our growth and we view 2019 as a transition year for Tivity for several reasons.
Number one, the number of UnitedHealthcare members who will have the benefit of SilverSneakers has arrived at a point now of predictability. Two, our customer pipeline is stronger and further confirms that we will continue to be able to offset the loss of lives with new business. Three, the investments we have made in enrollment and engagement are working. We now believe that about 2% and possibly more of our SilverSneakers 2019 revenue will be related to our ability to drive enrollment and engagement through media. We are just scratching the surface and Nutrisystem will play a significant role in future media launches.
However, let me share with you the first seven weeks of our 2019 media plan surpassed our expectations for eligibility and location checks two leading indicators for enrollment. Thus far, in 2019, we have seen an 85% increase in total SilverSneakers eligibility checks over 2018. We believe this is primarily due to our increased digital reach as well as our TV campaigns. This could be a nice upside to our engagement strategy and we will be monitoring this metric very closely.
Following the close of the Nutrisystem acquisition, we will have the benefit of Dawn's leadership and the Nutrisystem marketing and media expertise to further enhance our media program with more efficient spend. We are laying the groundwork to quickly capitalize on the revenue synergies between Tivity and Nutrisystem, which I'll cover more in a minute. Fourth, there is significant interest with both our current and prospective Medicare Advantage health plans to work with Tivity around a holistic care model that addresses the needs of our seniors, specific to nutrition, loneliness and activity.
Just recently I was with the CEO of a health plan who we are in fact putting on our pipeline who basically stated, what you've done here is a game changer. There is no company out there we believe who's offering this type of integrated solution at scale. We are moving fast on this opportunity to help our Medicare Advantage plans better serve their beneficiaries with the added flexibility provided by CMS in the CHRONIC Care Act of 2018. We will share updates throughout this year on our progress.
As a reminder, the 2003 Medicare Modernization Act fueled the growth of SilverSneakers. And subsequently, we believe the same will happen for our combined offering as a result of the recent changes by CMS and the CHRONIC Care Act passed by the Senate in 2018 as well as the advancement of the pay-for-value model. The movement to a value-based healthcare system will reward providers for providing healthcare and not seek care.
We believe these factors will positively affect our growth by demanding services that integrate activity, nutrition and social isolation programs to address the nearly 65% of health cost in our system that is associated with those living with three or more chronic conditions.
If any one lesson has been telling throughout the evolution of our modern healthcare approach it is this one. Single-point solutions cannot address the larger challenges and our partners need efficient and effective solutions that are difficult to achieve, when you have multiple single-point solutions.
And then to that end, in last December and as you are fully aware, we announced our intent to acquire Nutrisystem. We continue to believe that this combination represents a transformational step in both delivery and executing on this next growth opportunity, creating what I believe will be a new revenue stream that will integrate nutrition, fitness, and social engagement solutions to support overall health and wellness.
Meanwhile a few comments on the revenue synergies we have identified several opportunities as a combined company that really is exciting our entire teams and who are already at work planning. So I want to reiterate those opportunities and let me first focus on the near and midterm opportunities.
In March, we will provide a unique Nutrisystem offering to our Prime Fitness members. Additionally, we will leverage our relationship with Blue Cross and Blue Shield Association to promote Nutrisystem. We will also offer a unique promotional opportunity for the WholeHealth Living members adding Nutrisystem as a benefit. We will also offer a unique nutrition and food delivery opportunity to SilverSneakers members. We will promote Prime Fitness through Nutrisystem and the South Beach Diet.
We will develop a turnkey solution for participating locations to offer weight management solutions to their entire member bases including starter kits and a la carte options. We will leverage Nutrisystem's digital and direct-to-consumer marketing expertise to better and faster engage our SilverSneakers and Prime Fitness members.
And in the longer term, we believe we have the opportunity to create new and differentiated offerings, which could include items such as creating a unique SilverSneakers food offering and nutritional management program creating an integrated fitness nutrition offering for chronic conditions for diabetes, COPD and the like and targeting these benefits to caregivers.
We are incredibly enthusiastic about this transaction. We see Tivity Health and Nutrisystem as a strategic fit and we believe that it will be a powerful combined organization offering an invaluable holistic solution to improving the health and wellness of our members and will we believe unlock a unique ability to address critical health needs of a large portion of the population.
In closing, I want to take this opportunity to thank everyone for their continued interest in our company and express my sincere gratitude to the Tivity Health and Nutrisystem colleagues whose execution of this transaction has been simply remarkable.
Further. I want to welcome our Nutrisystem colleagues into the family. It's been clear to Dawn and me that the values of the two organizations are well aligned and the culture will be a key priority in our successful integration.
2019 could be another exciting year and we look forward to keeping all of you up-to-date on our success.
Operator, we will now take questions. Thank you.
Questions and Answers:Operator
(Operator Instructions) Your first question comes from Ryan Daniels with William Blair. Your line is open.
Ryan Daniels -- William Blair -- Analyst
Yes. Thanks for taking my questions. Let me start with a few Tivity specific. You mentioned that United would be about $61 million in revenue going forward as a combined entity. How much of that is the individual versus group? Meaning, how much is it risked for future in souring in your view versus the group which is a little bit more stable?
Adam C. Holland -- Chief Financial Officer
Yes. Ryan, this is Adam. If you look at the supplemental slides, you can see the group business makes up about two-thirds of that total $60 million. And so what Donato had mentioned in his prepared remarks is we anticipate the individual lives will continue to roll off once we get past 2019 leaving just essentially just group life business in 2020.
Ryan Daniels -- William Blair -- Analyst
Okay. That's helpful. And then the data you got in late January, is that just in regards to the enrollment in the specific markets they're in-sourcing, because I thought you guys already knew kind of what markets they were going to bring in, what markets they were going to leave? Did they just do better in those markets and your existing customers didn't capture as much shares you thought? Or any color there? I'm a little bit uncertain.
Donato Tramuto -- Chief Executive Officer
Yes, actually Ryan, good question. Actually our major customers actually did better. And so this did come as a surprise to us when we looked at the entire eligibility list that it surfaced during the last -- I'm going to say, the last two weeks of January, which by the way is one of the reasons quite honestly, why we normally don't lean in in the summer months to give any of those updates.
Ryan Daniels -- William Blair -- Analyst
Right.
Donato Tramuto -- Chief Executive Officer
...because we don't know. Quite frankly, the other plans did have a very good the larger plans without getting into the specifics did have some good numbers for us. And we were looking very, very optimistic in the first two weeks, and then of course, the news with United kicked in in the last 10 days of the months.
Ryan Daniels -- William Blair -- Analyst
Okay. Fair enough. And then in regards to Nutrisystem, a question we get a lot, so I'm going to pose it you on the call and I'll end here. Obviously, versus the numbers you had initially that were in the proxy, the EBITDA guidance is about 13% below what they had suggested; revenue is about 9%. So it bodes the question why not wait till after the diet season to bid for the company and determine valuation given that the diet season really does set up the entire year? So why do the deal if you will before having that critical piece of information? Thanks.
Donato Tramuto -- Chief Executive Officer
Well, let me say this, and listen, it's a fair question. And we didn't acquire Nutrisystem for the short-term. We acquired it for the long-term. And I do think that there's more to come certainly on the cost synergies. It is my belief that we can do better there. And quite honestly, already we're starting to see these teams work together around the revenue synergies. So I think we've taken the long-term approach here.
Ryan Daniels -- William Blair -- Analyst
Right. Fair enough. I hop in the queue. Thanks.
Operator
Your next question comes from David MacDonald with SunTrust. Your line is open.
David MacDonald -- SunTrust -- Analyst
Good afternoon. Donato just wanted to come back to the Walmart relationship for a minute. And I was wondering if you could spend a minute and just talk about the potential ability to leverage that into the SilverSneakers area with the amount of seniors kind of running around Walmart's potential opportunity for either marketing flex locations just any general thoughts there?
Donato Tramuto -- Chief Executive Officer
Yes. It's a great question. Thank you, David. I want to be a little bit careful because one of the things that we value in partnership is to make sure that we are working together. What I can say to you that, you've kind of answered your own question, we are going to be working with Walmart that's why I wanted to emphasize in my prepared remarks that the Prime opportunity is the first of what we see as a longer opportunity. And I do think that in the next quarters, we will provide you update in a number of venues that quite honestly, doesn't just wrap its arms around SilverSneakers it will wrap its arms around this combination between Nutrisystem and Tivity Health. So what I would ask in the spirit of good partnership with Walmart, this is great news for us today. We've been working on those for the last six, seven months that it is my belief that you'll be seeing more announcements this year. Stay tuned.
David MacDonald -- SunTrust -- Analyst
Okay. One other quick question just there were some comments around mixed results early in terms of diet season and initial spike in competition. Can you just give us a sense of what incremental on the competition side you saw? I mean any new participants? Anything there that kind of call out or just kind of the ebb and flow of diet season?
Dawn Zier -- President and Chief Operating Officer
Sure. This is Dawn. So as we -- I don't want to call out any specific competitors or anything, but we did see more in the digital space quite a few more people. And what we generally, see happen honestly is people come in early on during those first couple of weeks and then they fade fast. So there were a couple of new entrants that came in spent heavy and then pulled back a little bit and that's typically what we see. So when I talk about that, we decided to pull back on spend, because we saw spike in cost. We then are able to now redeploy that. And as we've talked about, we've seen some sequential week-over-week improvements and that goes to the core of our ability to buy media in a very nimble way and adapt quickly to any environment that we're facing.
David MacDonald -- SunTrust -- Analyst
Okay. And then just another one quick question on, you talked a little bit about the breakdown by demographic within the Nutrisystem business that's about 75% from an age standpoint fit with Prime about 25% is 65-plus. Do you guys have any statistics or any visibility in terms of how many of those folks currently are not using a gym opportunity to cross-sell? Any details around that, with regards to the Nutrisystem book?
Dawn Zier -- President and Chief Operating Officer
Hi. This is Dawn, again. We haven't matched the files yet. We'll be able to do that after we close. But I will tell you that, I was pleased to see that 25% were right in that SilverSneakers bucket. And again, I believe with Donato that there is a lot that collectively we can do together to grow that Prime and increase awareness around that. So, a lot we have a big database, a lot we can do that.
Donato Tramuto -- Chief Executive Officer
Yeah. Let me just answer that David, because, call it coincidental, I was at a dinner party the other night and there was an 88-year old senior there who has used Nutrisystem product for two years not for weight management. They have used it because his wife was unable to cook any longer. And so we also have our database, which as all of you know, I've been telegraphing since I've arrived here that when I did arrive here there was only 500,000 members in that database. We're now well over 3 million. And this is an opportunity now for us to work with Dawn and to be able to develop I don't know whether we'll call it silver-spoon, but we'll come up with the right name. But to develop a program that can reach, if you will those individuals who are not going to be joining the program just to lose weight. They're going to join it because it's probably their only mechanism in terms of having a proper nutrition. What we liked about Nutrisystem quite frankly is the way that they can scientifically tailor, if you will programs to the respective population. So there is two databases that obviously are going to benefit here.
David MacDonald -- SunTrust -- Analyst
Okay. Thanks very much.
Operator
Your next question comes from Sean Wieland with Piper Jaffray. Your line is open.
Sean Wieland -- Piper Jaffray -- Analyst
Hi. Thank you. So on the revenue synergy side you mentioned BlueCross BlueShield is going to promote Nutrisystem's. How does that work exactly? Is that -- does that involve discounting? And do you anticipate this being a template some of your other health plan customers?
Donato Tramuto -- Chief Executive Officer
Yes. Hi, Shawn, it's Donato. So one of the discoveries that we had during the due diligence is the fact that, as you know, with Prime, it's comprised now with Walmart. It's comprised of three significant partnerships.
BlueCross BlueShield Association is one of the most significant ones. We have been advertising Prime on their website, but also working with them on cool marketing activities. Nutrisystem has been doing the same for Nutrisystem. I think Dawn will be the first to say this, because they don't have those plan relationships, we have been light years ahead of Nutrisystem in terms of getting traction.
And so we are, already as we speak, we are in dialogue with them on a program that we're going to launch here very soon before the end of the first quarter. The specific of the program, I would ask that you allow us to get it done and then we can reveal it to you.
But that's the nature of us bringing a plan relationship to the tables. The plan has been extraordinary excited, because they do realize that a lot of those members are absolutely trying to lose weight not just by exercising but also nutritional management.
Sean Wieland -- Piper Jaffray -- Analyst
Okay. Fair enough. And then one quick follow-up on United. So my understanding that United had some guaranteed minimums in place as part of their current term of their contract. Is that accurate? And what do you anticipate happening in 2020 with that $40 million stub?
Donato Tramuto -- Chief Executive Officer
Yes. So the answer is, yes, to your first part of the question. And I'm going to answer this kind of in four buckets. First of all, I think, that this has been scripted exactly the way United has shared with me that they were, in fact, working to diversify before our time. I don't want to get into the previous leadership, but I think that that's there.
I think the focus has been on individual lives, which is controlled by one contract. As you know, that's United. The group, as you know, is controlled by many, many, many different organizations. And there have been no reduction in the group lives at all. And so, I think, if you look at the minimum, I think, that you can read the tea leaves, that the group fits into that minimum.
Sean Wieland -- Piper Jaffray -- Analyst
Okay. Thank you very much.
Operator
Your next question comes from Mohan Naidu with Oppenheimer. Your line is open.
Mohan Naidu -- Oppenheimer -- Analyst
Thanks for taking my questions. Donato, on the Walmart contract. Do you still need to engage individual associates to sign on to the program? Or do you get to a minimum as you roll it out in the summer then?
Adam C. Holland -- Chief Financial Officer
Hey, Mohan, this is Adam. We're not going to get, like, Donato said, into too many of the details of the arrangement, but it is a benefit-driven arrangement through Walmart, which is one of the country's largest self-insured employers.
And so, it's a little bit different take and we think it's going to be certainly pushed by Walmart itself, part of their overall benefits package. And frankly, we think it's going to be a spear tip to other opportunities with other large self-insured plans in the United States that can benefit from the robust Prime network that we offer.
Donato Tramuto -- Chief Executive Officer
If I may just add to that. Remember the -- keep Walmart to the side for a second. The other two contracts that we have within Prime, remember the aggregation of those lives are from employers and those plans aggregate those lives. The unique part about this one is we're dealing with the employer. We're dealing directly with the employer. And if you're following Walmart's commitment in terms of wellness of their population and we were just recently on a panel with them at Harvard. They made a very clear that, they think that one of the most significant ambassadorship of promoting wellness is their employees themselves, 1.6 million. So there are a lot of antecedents on this particular arrangement that I think makes it different than the other two.
Mohan Naidu -- Oppenheimer -- Analyst
Thanks for that color. Maybe just a separate question, we've been talking about the 5 million enrolled member target. That seems like a pretty big growth over the next couple of years. Is that still a target, should we revisit that and how comfortable are you with those targets right now?
Donato Tramuto -- Chief Executive Officer
Well the good news is, I may say to you is that when I put that target out there, we had a lower blend if you will, of hybrid versus PMPM. And I've been telegraphing this and I realized or perhaps maybe I haven't been as clear.
When I became CEO, it's amazing what you learn as CEO versus when you're Chairman of the Board is that, I saw this quintessential opportunity that having if you will, a balance between PMPM and hybrid was not at all an alignment of incentives between this organization and our health plans.
And the reason why now we're saying between 4.5 to 5 because the good news is there is a heavier weight now with hybrid. And that heavier weight means that when I advertise and when I push members to get enrolled, their going more often means that, I'm going to get paid more often.
And so it's now between 4.5 to 5 with the same financial modeling that we in fact scripted when we put five million out there. So I think with the media and everything else that we've done and the fact that it's proven out to be in many respects something we should have done three to five years ago, I think that we continue to maintain our commitment to getting there.
Mohan Naidu -- Oppenheimer -- Analyst
Okay. Thanks a lot Donato.
Operator
(Operator Instructions) Your next question comes from Dave Styblo with Jefferies. Your line is open.
Dave Styblo -- Jefferies -- Analyst
Hi there. Good afternoon, thanks for the questions. And maybe I'll come back to the nutrition plan outlook for this year and just get a better sense Dawn of -- you've had a very nice turnaround after taking the CEO seat, produced some very attractive revenue growth for several years.
Some challenges last year, some initial challenges this year. I guess what gives you confidence that this can be an attractive growing business when there seems to be a whack-a-mole that might just pop up every so often?
Maybe what did you learn over the last couple of years that you could do things a little bit differently either from a marketing spend campaign or if it's a product challenge, just to get a better sense of how the market can get more comfortable about the visibility on this business over the longer term? And how do you think about growth over the longer term for the company?
Dawn Zier -- President and Chief Operating Officer
Sure. I'd like to just start off by saying, we're doing OK in each of the areas we talked about, when we were talking about confidence for 2019. But we can do more. So again, we're excited about our 2019 product launches as they move forward. But there's a lot more we can do around different price points and configurations in food and nonfood. So I think that is a growth opportunity for us and something we're excited about.
On the creative front we overhauled our digital campaigns. And if you just take a look kind of before and after you can see the amazing progress that we made there, but again still more to come. We're seeing initial success with our social influencer campaigns especially with the South Beach Diet program and you we can expect to see us do more on this front. We've started rolling out brand ambassadors in January and more in February and expect to continue to roll out people.
And then on television, as I said, there are multiple creatives running, that are geared to different audiences, creative is about getting that right message to the right audience in a way that breaks through the noise and the more we can fine-tune the messaging, the more we can target.
For media deployment, it's really a balancing act between sources. We shifted more of our mix to digital which is a good thing and we see more opportunity on this front. Social media is working. We see this as an expansion opportunity and again, I think we pulled back on TV perhaps a little too much in January and we've been successfully able to layer back in.
The final point I think is when we talk about the market in general. This is a large addressable market and there are rooms for multiple players in it. So, I think if we look at it, its $10 billion to $15 billion addressable market, we're only a small part of it. So, I think growth will come from those mechanisms.
But also I think with the combined dealing, that we haven't talked about revenue synergies, but one of the things that's really important to us is expanded reach in this 360 approach to reaching customers and having access. And I think there is a ton of opportunity with building out these relationships with the fitness plans as well as with the health plan.
So, I think combo offers with stand-alone offers, I think we're entering into a really transformative and exciting period as a combined entity and I thank Donato for his decision around that.
Dave Styblo -- Jefferies -- Analyst
Okay. And then maybe for the Tivity management, just to get a better sense of the guidance and what you might contemplate in there. If I add back the United or adjust for that, it looks like revenue growth was about 5.5% for 2019.
What -- I guess technically that captures your mid-single-digit to high single-digit previous range. What levers might bring that up higher from here? For example, are you guys thinking about the benefits to the TV advertising campaign that has been going on? Any impact from the new Walmart relationship? Just to give us a sense of how conservative or aggressive the outlook would be for this year on a stand-alone basis?
Donato Tramuto -- Chief Executive Officer
Well, I think you have identified a number of them. And quite honestly my favorite philosophy, Yogi Berra said, "You don't want to make the wrong mistake." And I think that we're taking a conservative approach here.
And I think that you've identified a number of the areas that quite frankly we see as an upside. The media, certainly, as I stated in my prepared remarks, it's kind of beaten our expectations, but let's let it play out, just because they're checking on eligibility, you want to make sure now that they're actually signing up and we have metrics and algorithms that have definitely in the past given credence to that.
The territory managers that has been a significant hit in the 2018 season and continues to be a very strong momentum in terms of a growth lever.
The digital, the opportunity that we are going to now -- I get asked the question, how are you going to monetize loneliness? But let me just reveal a secret, we have been getting paid for people to show up at these fitness centers, and maybe just go to the community centers and we are now advancing that forward and putting that on steroids. The opportunity with flip50, we've launched that this quarter and we're continuing and we are getting sign-ups and we're continuing to invest there, so there's an opportunity.
Walmart, you are absolutely correct on the Walmart, and if we could launch that earlier than what we are planning. So those are the growth levers that we continue. And quite honestly working with Dawn with respect to some of the areas that she can help us with media, we are a consumer business. I think that we have been fooling ourselves to say we are simply a member business, we are not. We're in the consumer business.
Dave Styblo -- Jefferies -- Analyst
So to recap, I mean, can you give us a sense then like, are you talking about Walmart and some of those impacts being in guidance already to some extent and the upside if you launch earlier or is -- are none of the potential levers there in the numbers?
Adam C. Holland -- Chief Financial Officer
I think the marketing enrollment is probably the biggest lever of upside. And then it's just so early, our enrollment season really runs strong through April of every year. And so if we can keep the momentum that we've seen in January and continue to add-on there's certainly some upside potential to the SilverSneakers visit profile on revenue.
The Walmart is probably -- there is a modest assumption in there inside this guidance launching in late summer. There's always potential for that. I wouldn't count on that as the biggest lever. I would point back to the digital and TV affecting the first four or five months of the year.
Dave Styblo -- Jefferies -- Analyst
Okay. Thanks.
Operator
There are no further questions at this time. This concludes today's conference call. You may now disconnect.
Donato Tramuto -- Chief Executive Officer
Thank you. Make it a great evening everyone.
Duration: 61 minutes
Call participants:Donato Tramuto -- Chief Executive Officer
Dawn Zier -- President and Chief Operating Officer
Adam C. Holland -- Chief Financial Officer
Ryan Daniels -- William Blair -- Analyst
David MacDonald -- SunTrust -- Analyst
Sean Wieland -- Piper Jaffray -- Analyst
Mohan Naidu -- Oppenheimer -- Analyst
Dave Styblo -- Jefferies -- Analyst
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